Provider Demographics
NPI:1497488621
Name:PINEROS, ADRIANA (FNP)
Entity Type:Individual
Prefix:MS
First Name:ADRIANA
Middle Name:
Last Name:PINEROS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3710 INVERRARY DR APT 2K
Mailing Address - Street 2:
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33319-5144
Mailing Address - Country:US
Mailing Address - Phone:754-244-1928
Mailing Address - Fax:
Practice Address - Street 1:9858 GLADES RD STE D5
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33434-3982
Practice Address - Country:US
Practice Address - Phone:561-372-9190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-06
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11019297363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner